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Historical forces on the healthcare delivery system

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Who controls health care? As you have learned, the U.S. does not have a central agency to manage and govern health care delivery. Rather, multiple parties have varying responsibilities for and interests in health care delivery. Therefore, this question deserves thoughtful consideration and raises many additional questions about healthcare in the United States.

To prepare for this assignment:

You will consider how the control of health care delivery has shifted over time from the preindustrial era until today.
Think about the changing roles and responsibilities of various individuals and institutions, such as:
Physicians
Hospitals
Insurers/managed-care organizations
Regulators
Government payers (Medicare and Medicaid)
Also, consider how the issue provides opportunities and challenges for healthcare administrators.

To complete this assignment, address the following questions:

What are the historical forces on the healthcare delivery system, or who controls health care in the United States today? Why?
How has this changed over time?
What insights does this topic give you with regard to opportunities and challenges for health care administrators in today's organizations?

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Solution Summary

The historical forces on the healthcare delivery system are analyzed.

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http://quod.lib.umich.edu/m/mfr/4919087.0007.102/--health-care-in-the-united-states-an-evolving-system?rgn=main;view=fulltext

What are the historical forces on the healthcare delivery system, or who controls health care in the United States today? Why?

The U.S. government has a prominent role in the delivery of healthcare and has historically participated in the healthcare system with federal, state, and local governments all playing integral roles in the delivery of healthcare. The federal government is responsible for providing regulations and funding, with two of the biggest programs in healthcare delivery in America, Medicare and Medicaid. Regulatory legislation such as the EMTALA provide emergency services and care to all patients regardless if they can pay or not. The federal government has by far the biggest historical role in healthcare and still controls much of healthcare in the United States as it is responsible for determining the nation's healthcare budget as well ...

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